| NPI | 1063229466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CERINENA COLINE REDMAN-MCLEAN Owner 770-309-9489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2024-12-18 |
| Last Update Date | 2025-02-13 |